Initial step to controlling allergic rhinitis can include pillow and mattress covers.

• A. True
• B. False
• C. Only after nasal steroids fail
• D. Only during pollen season

Answer: (A)

Reducing exposure to allergens is a practical first step in managing allergic rhinitis. Pillow and mattress covers help by limiting contact with dust mite allergens, a common perennial trigger. Encasing bedding lowers the amount of mite bodies and feces that reach the nasal mucosa, reducing baseline inflammation and symptoms. This intervention can be started right away and does not require prior failure of medications; it complements pharmacotherapy such as intranasal steroids or antihistamines. Since dust mites are present year-round, these covers are a year-round measure, not limited to pollen season.